CEREBRAL PALSY--HELP

[carephysio]

HELLO,
i got a case of cerebral palsy. HIS CASE HISTORY:
age:9 yrs/male
cause :unknown: may be because of infection.
no spasticity....weak joints...no bowel and bladder control... no neonatal reflexes.
auditory and visual input absent.
there is nothing that the patients understand about.
how a physiotherapist can intervene...in this situation?

any help is highly appreciated...

regards
carephysio

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[sdkashif]

Have a look over these information resources for Cerebral Palsy.

Cerebral Palsy

Cerebral palsy (CP) is a term used to describe a group of chronic conditions affecting body movements and muscle coordination. The word cerebral refers to the brain and palsy to difficulty in control of movement . Cerebral palsy is neither progressive nor communicable. It is caused by damage to one or more specific areas of the brain. This damage usually occurs during development infancy. Damage leading to cerebral palsy can also occur before, during or shortly after birth. Birth injury can lead to cerebral palsy.

Cerebral palsy is a medical condition caused by a permanent brain injury that occurs before, during, or shortly after birth. The primary characteristic of cerebral palsy is a lack of muscle control and movement. Cerebral palsy is not a progressive disease, however, the effects have been known to change over time. Although the cause of cerebral palsy is not known for certain, there is evidence that links it to both the health history of the mother and child, and accidents causing brain damage. The diagnosis of cerebral palsy is often made immediately after birth, but it can also be made later in childhood.

Cerebral Palsy in Premature Infants and Children

Motor Impairment Associated with Neurological Injury in Premature Infants

Cerebral Palsy

Cerebral palsy Information

What Causes Cerebral Palsy?

Caring Cerebral Palsy

Management of Cerebral Palsy

Cerebral palsy may cause a number of symptoms, including seizures, spasms, visual and hearing problems, hyperactivity, and learning disorders. There is not a cure, however several therapies are available for the treatment of cerebral palsy. Although living with cerebral palsy can be difficult, it is certainly possible to be successful while coping with the disorder.

Physical Therapy

Different form of therapies CP Child

Treatment overview

Bobath Therapy

Proprioceptive Neuromuscular Facilitation Techniques (PNF)

Temple Fay Method

Glenn Doman Method

Delacato Method

Feldenkrais Method

Brunnstrom's Movement Therapy Approach

Cranial Sacral Therapy

Conduction Education- Detail

The Scotson Technique

Conduction Education

Motor Rehabilitation

Therapeutic Horse Back Riding

Activities for Your Toddler with Cerebral Palsy

Spasticity managment

Cerebral Palsy Information page

Bright Current Treatments

Miracle Kids

Cerebral Palsy Help

Cerebral Palsy Help

1-Cerebral Palsy Help

How can I Help?

[minalnene]

thanks for your references,
they r very useful.

[REEJOJOHN]

hi
u could try a 24 hour postural management with this client
This will reduce the formation of deformities and also prevent the effects of gravity. Arrange for a sleep system and a wheelchair mould. If u r in uk u could contact the Oxford center for enablement...contact wendy murphy
cheers dude

[physiok]

Hi!
What kind of opening do you have with this patient? What does he feel/react to (pain, hot, cold, touch...)
Weakness of the joints is normal with hypotonocity!
How is the brain activity, is there a diagnosis of leucomalacia?
What can give some results in stimulating this child could be: massage with hands, balls, knobber, vibrator... to increase the knowledge of his body's limits, use of a swimming pool or bath (with special swimsuit) with floating items, as it will help him using his weak muscles, repeated mobilisations of the limbs (PNF, Bobath, Feldenkrais, Vojta), balance exercises on large boards, balloons...
Need some more?

[rpreetipj]

hi grt to know the knowledge
can u put some light for extensor thrust control i have tried various techniques for my patient with dystonia
he is on medication for the same but extensor thrust is not reducing at all
any body pls

[onfourwheels]

hello i know it can be frustrating but do your best.

[daniel_sadana80]

it's alot of treat child with cp..like bbath, si ayres, snoozelen...

[Kersh Iyer]

Hi all....I've just started working at a special needs school. I have no NDT training but i have over the years worked with CP kids. I would really appreciate some advise on when does one stop treatment (even if goals are reached)....

Kersh

[estherderu]

Dear Kersch,
The questions seems so easy to answer but it is not.
You need to consider:
-what are your treatment goals
-what are the reasons for wanting to stop
-what are the parents/childs goals and/or their reasons for wanting to stop treatment
-do you both agree?
-has treatment ever been stopped before
-how old is the child, (motor- sensor development)
-what do others think (teachers,family members, schoolboard)
-what is considered normal in your culture?

In Holland many children are not treated for periodes of 6 weeks in holiday time and that time has been found to be acceptable. The childs situation does not really change in that periode.

On a whole, stopping treatment for a while can be a goal in itself, giving therapist and child and parents a change to "get away from it all"
for a periode of time. The most important thing I can say is communicate, ask the parents and child what they think and want and come to an agreement. Do some simple testing as a last therapy session and repeat this after a .... month interval to see if anything has changed for the better or not. In come cases a child can do just as well by being the member of a local sports team.

Esther